Myxedema coma, pancytopenia, and hypocoagulopathy: A rare presentation of Sheehan's syndrome

Sir, Sheehan's syndrome is postpartum hypopituitarism caused by necrosis of the pituitary gland, as a result of massive hemorrhage or severe hypotension during delivery. On further probing, it was found that she had postpartum hemorrhage seven years back requiring multiple blood transfusions during her last child birth. The patient exhibited improvement with reversal of shock, resolution of bradycardia, bradypnea, pericardial effusion, correction of metabolic parameters, improvement in sensorium, and was extubated.